KENNETH JOHN PROULX SCHAFER

SAN DIEGO, CA
NPI1033923214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2025-02-06
Last Update Date2025-02-06
Business Address
KENNETH JOHN PROULX SCHAFER
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 330-705-0157
Mailing Address
KENNETH JOHN PROULX SCHAFER
4970 WILTSIE WAY
SAN DIEGO, CA 92124-2526
Phone number: 330-705-0157
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